The differences between the services showed that there is a need for actions aiming at the improvement of the prenatal care provided by public services.

Factors associated with the grief after stillbirth: a comparative study between Brazilian and Canadian women * Extracted from the thesis "Luto por óbito fetal: estudo comparativo entre mulheres brasileiras e canadenses", Programa ABSTRACT Objective:To verify the association between complicated grief and sociodemographic, reproductive, mental, marital satisfaction, and professional support characteristics in women after stillbirth. Method: Cross-sectional study with 26 women who had stillbirth in 2013, living in the city of Maringá, Brazil, and eight women who attended the Centre d'Études et de Recherche en Intervention Familiale at the University of Quebec en Outaouais, in Canada. The instrument was administered as an interview to a small number of mothers of infants up to three months (n=50), who did not participate in the validation study. Results: By applying the short version of the Perinatal Grief Scale, the prevalence of complicated grief in Brazilian women was found to be higher (35%) in relation to Canadian women (12%). Characteristics of the Brazilian women associated with the grief period included the presence of previous pregnancy with live birth, absence of previous perinatal loss, postpartum depression, and lack of marital satisfaction. For the Canadians it was observed that 80% of the women presenting no grief made use of the professional support group. In both populations the occurrence of complicated grief presented a higher prevalence in women with duration of pregnancy higher than 28 weeks. Conclusion: The women that must be further investigated during the grief period are those living in Brazil, making no use of a professional support group, presenting little to no marital satisfaction, having no religion, and of a low educational level.

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Objective: to carry out cross-cultural adaptation and validation of evidence Perinatal Grief Scale into Portuguese of Brazil and French of Canada languages. Method: a methodological study involving application of Perinatal Grief Scale from the set of cross-cultural adaptation procedures. The population was all women that had stillbirth in the year 2013 residents in the municipal district of Maringa-Brazil and participants of the Centre d'Etudes et de Recherche en Intervention Familiale, University of Quebec, Outaouais, Canada. Results: the scale versions in Portuguese and French was reliable in the two populations. The Cronbach's alpha coefficient in the scale applied in Brazil was of 0.93 and applied in Canada was of 0.94. Only the Portuguese version, four items were not correlated with the total scale. Conclusion: the Perinatal Grief Scale can be used to identify the grief state in women that had stillbirth, in its version of each country.

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RESUME:La grossesse et 1'accouchement presentent des dangers particuliers pour la femme atteinte de dystrophie myotonique de Steinert. II arrive assez souvent que la mere, encore jeune et pas toujours tres symptomatique, ignore d'ailleurs qu'elle est atteinte et porteuse de cette maladie. Nous rappelons ici les complications de la grossesse associees a la dystrophie myotonique de Steinert et proposons une conduite a tenir vis-a-vis de la mere. Quant a 1'enfant ne de mere dystrophique, non seulement presente-t-il un risque de 50% d'heriter du gene de la maladie, mais il peut aussi presenter un syndrome developpemental et malformatif particulier. Aux difficultes respiratoires des premieres heures succedent des troubles de deglutition, une hypotonic severe et plus tard un retard psychomoteur important. Nous illustrons quelques-unes des manifestations retrouvees chez le nouveau-ne et le nourrisson atteint de dystrophie myotonique cong6nitale et nous ajoutons quelques tests pour completer le bilan habituellement recommand6 chez ces patients. ABSTRACT: The Mother and Infant with Myotonic DystrophyPregnancy and delivery present a number of risks for the mother suffering from myotonic dystrophy, and for her infant. Most of the time, she does not even know that she is affected by the disease and a carrier of the gene. We review the complications of pregnancy and delivery in myotonic patients, and propose a simple management with specific items for each gestational period. The child of a dystrophic mother has a 50% risk of inheriting the abnormal gene. He may also exhibit a developmental and malformation syndrome called "congenital myotonic dystrophy". From the beginning, he may show respiratory distress, thereafter inability to swallow and severely hypotonia. Later, he may demonstrate mental retardation. Some of the most obvious signs found in neonates in our practice are illustrated. We also add a few tests to the list of those already recommended for these children.

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